Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $39.61 / $85.27	Facility		$6.58	$39.61	$85.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $9.64 / $56.32	Professional		$3.99	$9.64	$56.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $9.07 / $26.35	Professional		$5.18	$9.07	$26.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $10.36 / $58.30	Facility		$5.18	$10.36	$58.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.18 / $13.30	Professional		$3.11	$5.18	$13.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $10.55 / $16.23	Facility		$6.34	$10.55	$16.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.55 / $14.83	Professional		$6.22	$10.55	$14.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $934.87 / $8,615.15 / $14,880.72	Facility		$934.87	$8,615.15	$14,880.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.33 / $12.54	Professional		$3.11	$4.33	$12.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.18 / $5.18	Professional		$4.09	$5.18	$5.18